唐山大地震心理创伤后应激障碍的抽样调查研究

A study of the prevalence of post-traumatic stress disorder after a violent earthquake in Tangshan

目的调查唐山大地震心理创伤后应激障碍（FISD）的患病率。方法应用自行编制的PISD调查表和标准化评定工具，对地震时在唐山市区居住且亲身经历地震者1813人进行抽样调查。结果1813人中诊断为急性应激反应（ASR）335例（18．48％），延迟性应激障碍（DSD）402例（22．17％），其中现患DSD17例，现患率为0．94％。结论大地震后ASR和DSD的患病率高，个体远期心身健康水平较低。

Objective The study was to investigate the prevalence of post-traumatic stress disorder after aviolen earthquake in Tangshan. Methods 1 813 subjects who lived in Tangshan City and experieced the earthquake were investigated with the self-made questionnaires of post-traumatic stress disorder and the standard assessment instruments. Results 335 (18. 48% ) subjects were diagnosed as acute stress disorder, and 402 subjects(22. 17% ) as delayed stress disorder with 17 subjects suffering delayed stress disorder currently (0.94% presentprevalence). Conclusions There existed the high prevalence of acute stress disorder and delayed stress disorderafter violen earthquake. The subjects with these two disorders have a lower level of mental health for a long time.